Lee Chiropractic Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3882-012 Issued in WI

Legal business name

LEE CHIROPRACTIC CLINIC, LLC

Practice address

6524 W Capitol Dr
Milwaukee, WI 53216-2038

Phone

(414) 431-7101

Fax

(414) 431-7102

NPI assigned

Mar 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thai Lee, D.C.NPI 1497813364

Title

Chiropractor

Phone

(414) 431-7101

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thai Lee, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1497813364
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1811169295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162038",
            "telephone_number": "414-431-7101",
            "fax_number": "414-431-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162038",
            "telephone_number": "414-431-7101",
            "fax_number": "414-431-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THAI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-431-7101",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3882-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1497813364",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38942400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Randall Ledford, MD
• Angela Ledonne
• James David Leduc, NCSP
• George Richard Ledvina III, DDS
• Michael James Ledvina, CRNA
• Lee Home Healthcare, LLC
• Lee Medical Clinic
• Lee Medical Clinic SC
• Denita Lee-Johnson
• Alice Yoonjae Lee, MD

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.